South Central Regional Medical Ctr-Eeg

LBN: South Central Regional Medical Ctr
South Central Regional Medical Ctr-Eeg is an health care organization with primary practice located at 1220 Jefferson St , Laurel MS 39440-4355. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. South Central Regional Medical Ctr can be contacted via phone (601) 426-4000, or through Canizaro, James T via phone (601) 426-4504.

Contact Information

Primary practice address
1220 Jefferson St Laurel MS 39440-4355
Phone: (601) 426-4000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Canizaro, James T
Phone: (601) 426-4504

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 11-153 Mississippi

Profile Details

NPI number 1396920484
LBN Legal business name South Central Regional Medical Ctr
DBA Doing business as South Central Regional Medical Ctr-Eeg
Authorized official Canizaro, James T
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 8th, 2008
Last updated Nov 3rd, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396920484 NPPES
Mississippi MEDICAID 09013316

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